Acadia Psychological Services PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY5025 Issued in FL

Legal business name

ACADIA PSYCHOLOGICAL SERVICES PA

Practice address

7301 W Palmetto Park Rd
Ste. 204a
Boca Raton, FL 33433-3458

Phone

(561) 368-9940

Fax

(561) 368-3255

NPI assigned

Sep 27, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sharon Lynn Miller, PH.D.NPI 1760573422

Title

President

Phone

(561) 368-9940

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon Lynn Miller, PH.D.

  • Psychologist
  • Boca Raton, FL
  • NPI 1760573422
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1861583452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "STE. 204A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-368-9940",
            "fax_number": "561-368-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "STE. 204A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-368-9940",
            "fax_number": "561-368-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA PSYCHOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-368-9940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6755",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5025",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5025",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6368",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.